Cardiac rehabilitation after catheter ablation of atrial fibrillation in patients with left ventricular dysfunction

Aoyama, Daisetsu; Miyazaki, Shinsuke; Hasegawa, Kanae; Nagao, Moeko; Kakehashi, Shota; Mukai, Moe; Sekihara, Takayuki; Nodera, Minoru; Eguchi, Tomoya; Aiki, Takayoshi; Yamaguchi, Junya; Shiomi, Yuichiro; Takahashi, Naoto; Ikeda, Hiroyuki; Ishida, Kentaro; Uzui, Hiroyasu; Tada, Hiroshi

doi:10.1007/s00380-021-01829-8

Cited by 5 publications

(3 citation statements)

References 24 publications

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“…Hence, despite the presence of cardiac devices, adaptations to exercise training appear to be similar to those documented in the healthy population and other populations of cardiac patients [ 3 , 4 , 5 , 6 , 7 ]. Our findings are clinically relevant because strength training is currently highly recommended, in addition to the aerobic type, in cardiac rehabilitation [ 26 ], particularly in elderly patients [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 65%

“…Previous studies [ 2 , 3 , 4 , 5 , 6 , 7 ] had already demonstrated the positive effects and safety of aerobic training program alone in patients with implantable cardiac devices. In the HF-ACTION study [ 19 ], patients with heart failure and implanted cardiac devices underwent aerobic exercise training and showed no evidence of increased ICD shocks.…”

Section: Discussionmentioning

confidence: 99%

“…However, most of the studies are focused on patients with coronary artery disease, heart failure, post-cardiac surgery, or featuring cardiovascular risk factors [ 3 ]. In particular, several studies have shown that, in addition to being effective, cardiac rehabilitation programs including elements of supervised exercise are also safe for these cardiac patients, with an extremely low rate of adverse events and/or hospitalization [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Efficacy and Safety of a Combined Aerobic, Strength and Flexibility Exercise Training Program in Patients with Implantable Cardiac Devices

Squeo¹,

Giacinto²,

Perrone

et al. 2022

JCDD

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Purpose: The “FIDE Project” (Fitness Implantable DEvice) was organized by the Institute of Sports Medicine and Science and the World Society of Arrhythmias with the aim of demonstrating the usefulness of exercise training in improving functional capacity in patients with implantable cardiac devices. Materials and Methods: Thirty sedentary patients were selected for the project (25 males and 5 females), with a mean age of 73 ± 5 years (range 44–94 years). Twenty-five were implanted with a Pacemaker (PM) and five with an Implantable Cardioverter Defibrillator (ICD). Atrial fibrillation/atrial flutter was present in ten (34%) patients, post-ischemic dilated cardiomyopathy in five (17.2%), sick sinus syndrome in six (20,7%), complete atrium-ventricular block in six (20.7%), hypertrophic cardiomyopathy in one (3.4%) and recurrent syncope in one (3.4%). The baseline assessment comprised cardiovascular examination, resting and stress ECG, cardiopulmonary exercise testing (V ̇O2peak), strength assessment of different muscle groups, and a flexibility test. The same measurements were repeated after 15–20 consecutive training sessions, over a 2-month period. The exercise prescription was set to 70–80% of HRR (Heart rate reserve) and to 50–70% of 1RM (1-repetition maximum, muscular force). The training protocol consisted of two training sessions per week performed in our institute, 90 min for each (warm-up, aerobic phase, strength phase and stretching) and one or more at home autonomously. Results: The cardiopulmonary testing after the training period documents a significant improvement in V ̇O2peak (15 ± 4 mL/kg/min vs. 17 ± 4; p = 0.001) and in work load (87 ± 30 watts vs. 108 ± 37; p = 0.001). Additionally, strength capacity significantly increased after the cardiac rehabilitation program, (quadriceps: 21 ± 18 kg vs. 29 ± 16 kg, p = 0.00003). Flexibility tests show a positive trend, but without statistical significance (sit-and-reach test: −19 ± 11 cm vs. −15 ± 11.7 cm; back-scratch test: −19 ± 11.6 cm vs. −15 ± 10 cm; lateral flexibility right −44 ± 1.4 cm vs. −43 ± 9.5 cm; left −43 ± 5 vs. −45 ± 8.7 cm). Conclusion: A brief period of combined aerobic, strength and flexibility exercise training (FIDE project) proved to be effective and safe in improving functional capacity in patients with cardiac implantable devices.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy and Safety of a Combined Aerobic, Strength and Flexibility Exercise Training Program in Patients with Implantable Cardiac Devices

Squeo¹,

Giacinto²,

Perrone

et al. 2022

JCDD

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Exercise-based cardiac rehabilitation for adults with atrial fibrillation

Buckley,

Long,

Risom

et al. 2024

Cochrane Database of Systematic Reviews

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The role of cardiac rehabilitation in patients with atrial fibrillation and heart failure

Ganea,

Guşetu,

Caloian

et al. 2024

Balneo and PRM Research Journal

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This review investigates the role and effectiveness of cardiac rehabilitation in individuals diagnosed with atrial fibrillation and heart failure. A comprehensive analysis of existing literature, clinical trials, and observational studies was conducted to assess the outcomes associated with cardiac rehabilitation interventions in this specific patient population. The complex and bidirec-tional relationship between atrial fibrillation and heart failure underscores the importance of a patient-centered approach that integrates medical, lifestyle, and rehabilitative interventions for optimal care and outcomes. Results suggest improved functional capacity, enhanced quality of life, and potential favorable cardiovascular outcomes. The review brings new insights to the existing literature, emphasizing the importance of personalized cardiac rehabilitation strategies in opti-mizing the overall well-being of these patients.

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Cardiac rehabilitation after catheter ablation of atrial fibrillation in patients with left ventricular dysfunction

Cited by 5 publications

References 24 publications

Efficacy and Safety of a Combined Aerobic, Strength and Flexibility Exercise Training Program in Patients with Implantable Cardiac Devices

Efficacy and Safety of a Combined Aerobic, Strength and Flexibility Exercise Training Program in Patients with Implantable Cardiac Devices

Exercise-based cardiac rehabilitation for adults with atrial fibrillation

The role of cardiac rehabilitation in patients with atrial fibrillation and heart failure

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